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Pilonidal Sinus

Get expert treatment for pilonidal sinus

A pilonidal sinus is a small tract in the skin, usually in the cleft at the top of the buttocks. It often contains hair and can become repeatedly infected. It is more common in young men and people who sit for long hours.

Medically reviewed by Dr Yaswanth Tummala, updated Oct 2026

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Procedure time30–45 minutes
Hospital stayUsually same day
Back to desk work1–2 weeks
Pilonidal Sinus infographic Tap to enlarge
Pilonidal Sinus at a glance

Symptoms

  • Pain and swelling at the top of the buttock cleft
  • Pus or blood draining from a small opening
  • A foul smell from the discharge
  • Fever with an infected abscess

Treatment options

An acute abscess is drained first. Long-term cure usually needs removal of the sinus tract. Modern techniques aim to reduce recurrence and speed up healing.

Laser and minimally invasive treatment

Laser sinus ablation is a minimally invasive option for selected patients, with a small wound and faster return to work.

Prevention

  • Keep the area clean and dry
  • Remove hair from the area regularly as advised
  • Avoid sitting for long periods without breaks
Dr Yaswanth Tummala

Discuss your treatment with Dr Yaswanth Tummala

Every patient is different. A consultation is the best way to understand your condition and the options that suit you.

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